Provider Demographics
NPI:1922691575
Name:MERGE MEDICAL CENTER
Entity Type:Organization
Organization Name:MERGE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVEGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:843-469-1001
Mailing Address - Street 1:250 MATHIS FERRY RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-2988
Mailing Address - Country:US
Mailing Address - Phone:843-469-1001
Mailing Address - Fax:843-388-1612
Practice Address - Street 1:250 MATHIS FERRY RD STE 101
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-2988
Practice Address - Country:US
Practice Address - Phone:843-469-1001
Practice Address - Fax:843-388-1612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center